Billing code 62115: Craniosynostosis surgeryMedicare rate & RVUs in Oregon
Reports surgical correction of craniosynostosis involving one cranial suture by removing and reshaping bone to address abnormal skull growth.
CMS doesn’t publish an office rate for 62115 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62115 covers
This operation treats craniosynostosis, in which a cranial suture closes prematurely and restricts normal skull growth. The surgeon removes and reshapes bone around the affected suture to improve skull shape and allow room for growth. It is typically performed by a neurosurgeon or craniofacial surgeon in a hospital operating room, often as part of a coordinated pediatric craniofacial care plan. The key distinction is correction involving a single cranial suture, rather than a multiple-suture procedure or repair of a separate skull defect.
Report the code when the operative documentation supports treatment of single-suture craniosynostosis and describes the involved suture and the bone work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate for this anatomy and procedure.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 62115 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,681.31 |
| Rest Of Oregon | Unavailable | $1,585.14 |
How the 62115 rate is calculated
Each of 62115’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62115
RVUs × geographic indexes × conversion factor
Work22.34
22.34 RVUs× 1.000 GPCI
Practice expense18.57
18.57 RVUs× 1.000 GPCI
Malpractice9.42
9.42 RVUs× 1.000 GPCI
Adjusted RVUs
50.3300
Conversion factor
$33.4009
Medicare rate
$1,681.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62115
62115 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62115
Craniosynostosis surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62115
Craniosynostosis surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62115 without 51 · national facility
$1,681.07
Craniosynostosis surgery
62115-51 · Second procedure: 50%
$840.54
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62115 compared with similar codes
Compare codes · National
62115 vs 62140 vs 62141: Medicare rates
How to choose
- 62140Cranioplasty
- 62140 addresses cranioplasty for a skull defect smaller than 5 cm. It is not the single-suture craniosynostosis procedure reported with 62115.
- 62141Cranioplasty
- 62141 addresses cranioplasty for a skull defect larger than 5 cm; 62115 instead describes correction of single-suture craniosynostosis.
62115 billing questions
How do I distinguish this from 62116?
This code is for craniosynostosis involving one cranial suture. Use 62116 when the operation addresses multiple cranial sutures.
Is this the same as a cranioplasty for a skull defect?
No. This code addresses craniosynostosis involving a single suture. Codes such as 62140 and 62141 describe cranioplasty for a skull defect and use defect size to distinguish the service.
What documentation supports reporting this code?
Document the diagnosis of craniosynostosis, the single suture involved, and the operative bone removal and reshaping performed.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this procedure and anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90 days after surgery.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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